Individual
KASEY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 S 1530 W, PROVO, UT 84601-3910
(505) 720-8330
Mailing address
82 S 1530 W, PROVO, UT 84601-3910
(505) 720-8330
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
156524
CA
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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